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14441 SW 125TH AVENUE W WRW 14441. SW 1251.h Avenue _. M 1 L Ln CR FTIGARD CERTIFICATE' OF COMMUNITY DEVELOPMENT DEPARTMENT WYOFTWARDI OCCUPANCY on 13125 SW 14WI Blvd. P.O.Box 23397,Tig*W,Oregon 07223(6W)W*4175 00" PERMIT #. . . . . . . . C — te/'j6j-)t 144,41 SW 125TH AVE PARCEL: 1'7-Sl09AA---Q)Vl90V EbUSDI V I G I ON. . . . 3 ZONING: R- 1 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . CLASS OF WORK. :N[ TYPE- OF USE. . . '.9F OCCUPANCY GRP. :R:3 OCCUPONCY LOAD:2eO 4 TF114ANT NAME. . . : Remarks : on septic system 'TIM AND ALICE PFRRINE 46i25 FIPWOOD RD LAKE OGWFGO OR 97035 Phone #: 6,20-731.5 contr,ixCtor . OWNER Phone 0 : Req OCCUPWWY Of the above v,eferpnced bmildinu is hereby given, and certifies the coatplian(---a with the State Of Oregon Specialty Codes for the qv-O,-,Pq tiuvi4panvy, and Use under which the referevir-eci ptv-mit wEks is%�.jpcj. FIRE: DFPAPTMENT BUILDING INSPEP. BI)I LD I NX OFF' itYGi! POST IN COWjPICUOUS, PLACE 7 INSPECTION NOTICE City of Tigard Building Department 1317.5 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41'!1 Inspections Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -plumb. Plhg. Underfloor Water Line Gyp. Bd. -Hoch. Date Reque �s�t �e �d �:J� _d��__ Timet _ 1 AM PH �L?4-�J.---`S�/ / ^ 1 r Permit 1: ►�ST 9t9�u 2__ Address: ---— Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: I Inspectors c_I __ _a� __ Dat": APPROVED DISAPPROVED APPROVED SURJ?rr T TO ABOVE __-Call For Reinsp. W INSPECTION NOTICC City of Tigard Building Departs►`nt 13125 SN Ba11 Blvd. Tigard, Oregon 97223 Inspection Line (RAC_O-Phone): 635-4175 Buoineso Phone: 639--4171 Inspection: — — --- -- Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk Found. 1'lbg. Top Out Gas Line FINAL: -Blc Poet/Beam Struct. San. Sewer Framing Poet/Beam Mach. Rain Drain Insulation -Plumb• Plbg. Underfloor Water Lina Qyp� Bd. -Meeh. _T1roet 11M _ PM Date Requested: _.�//i�r r71 7 ..- Permit t: ,J = Address: ' THE FOLLOWING CORRSCTIOMS ARE REQUIRED: Z� ti- o- Date:_ Inspector: DISAPPROVED �— APPROVED SUBJECT TO ABOVE _40Call For Reln::p. SMIKU INSPECTION NOTICE City of Tigard Building Departaent { 13125 SW Ball Blvd. Tig rd, Oregon 97223 Inspection Line (Rec-O-Pho ): 639-4:75 Business Phone: 639-v171 Inspection:_ -� Footing pllqpfderslab Mech. Rough-in ApprrSdw1k LL Found. P;bq. Top Out Gas Line FINAL: Poet/Be ' Struct. $an. Bawer Framing -Bldg. Post/9eam Mech. Rahn Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requested: / ( f __YAM __PM Address: Z Yr`1 y� S_ �.1_�/�'�_Permit E: �Q —03e1.=.)— Builder: �,�/u7tQ J THE FOLLOWING CORRECTIONS ARS NMIRSO: i Inspector:_ 1� Date:. APPROVED DIe" APPROVED SUBJECT TO ABOVE �11 For Reinep. C C,F T'BARD TEMPORARY CE:RTIFIGATE COMMUNITY DEVELOPMENT DEPARTMENT CPYOFTWARD OF OCCUPANCY 7 PERMIT #. . . . . . , 13126SWHWIBlvd. P.O.Box 23397,Tigard,O"pgon 97223(59"176 --------- ------- -- lm,�- ). 8 "22 "91 ,3IT[- ADDRESS— s 14441 SW 125TH AVE PARCELS iUBDIVISION. . . , a -'ONINC;i P- 1 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. CLASS OF WORK. cNEW TYPE OF USE. . . ISF OCCUPANCY ORP. mR3 00".11PANCY LLAD 2220 4 TCMANT NAME. . . : rqelAAI'k . '(EM OORARY OCCUPANCY FOR 60 MYS FROM DATE OF lc.sSLJf4N(,I-.-. on geptiL SyStOM TIM AND ALICE PERRINE 46ccb FIRWOOD RD L-AKE OGiWE0O OR 97035 Phovie #: 6PO-7315 Cont rectors OWNER Phone 0% Ucc,upancy of the atuve refpl-c- need buildinp ie hereby given, acid zertifies the compliance with the State Of Otregon s;pecjajty Code-3 for- the group, UuclipanCy, And use utider which the referenced permit was i vj rj e c-1. fee. FIRF DEPARTMENT ritj 6 INSPECTOR NUI 1, r NO 1 1 AL. POc')"T IN Pl-i-kCE �r a �e ■r w � e / 1NSPECTION NOTICE City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 InspectionLi (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections— �1 -- -----T — `� Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINALt Poet/Beam Struct. Sar.. Sewer Franking Bldg. Pont/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Ed. 1 Data RaquPnte/d s/ �fTi�sost� �) AM PM Address:__ ^-� 5 �{�, " Permit Builders_ THE FOLLOWING CORRECTIONS ARE REQUIRED: /5l 117 w Inspectors Datet ^1'Z _APPROVID DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPEI.TION NOTICE C-ty of Tigard Building Department 13125 Sit Hall Blvd. Tigard, ttrAgon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Pltg. Top Out Gas Line FINAL: Poet/Beam strut. San. Sew++r Framing -Bldg. Poet/Ream Mech. Rain Drain Iieulation -Plumb. Plbq. Underfloor Water Line Gyp. ed. -Mech. Date Requested:_ �-l Time: AN PM // / Address:-._ ��L71 S � Pnrmit #:'% Build(t: THE FOLLOWING CORML-TIONS ARB REQUIRED( InspectT;:�PROVND _ DISAPPROVRU _T APPROVED SUBJECT TO AB.wE — Cnll For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SH Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Budinese Phone: 639-4171 Inspection: — Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Moch. t-fain Drain ) Insulation -Plumb. Plbg. UnderV oor er Lina GYP• Bd. -Mach. Date Requested: / --.---Time: — AM — PM Address: /%7�� / Permit #i9 f 20-Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRSD: J Inspectors #I" J Date:_ APPROVED DISAPPROVED APPROVED SUBJRCr TO ABOVE Call For Reinap. INSPECTION_NOTICE: City of Tigard Building Depa_rtmont 13125 SW Ball Blvd. Tigard, Oregon 9722.3 Inspection Line (Rec-O-Phone): 634-4175 BusineBB Phone. !,39-4141 Inapection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Sen. Sewer Framing -Bldg. Po Bt/Beam Mach. Rain Drain Insulation -Plumb. P1bg. Underfloor Water Line Gyp. Bd. -Hoch. Dato RequesteLd,s X)_ / I 7L/ / Time: AN PM Address: L>� r'�` [-'_/.1Ey/Perm I t 1 Builders , THE FOLLOWING CORRECTIONS ARE RE('iUIRED: Inspector _` Dates �71PPROVED DISAPPROVED APPROVRD SUB-IRCT TO ABOVE Call For Reinsp. RECEIVED PLANNING MAY 2 3 1991 _ BARCLAY HOME DESIGNS]_ 14835 S.E. 82nd Drive, Suite 200•Clackamas, Oregon 97015.503-656-1988 a,0 Rso., c-h'Ee\e-f M ST-9 o - X 347- 0&37 60137T 'E u eMp_ s-uzo 2 P L;4ju \Awn- -rQF- PCU 1 LP"Za SPcc--1 o w +KL c 1;1�1LL s w�ro►2 K r� mo fu • , (14t S k)GTF- f o INSPECTION NOTICE City of Tigard Building Depart1slent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171 Inspection:_ —__ _-- ----- -- Footing Plbq. Uww :.1 . --h.h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Post/Beam Moch. Rain Drain Ineulatlon -Plumb. Plbg. Underfloor Water Lino/ Gyp. Bd. -Hoch. Date Requested: t-0'- Times AM) PH Adaree : _ /_ '4 /CJ'�—� e (�/_�i�. Permit THF. FOLLOWING c�RRECTIONS ARE FAMIRM � Inspectors Dates �__ APPROVED DIIAPP110VND _— APPROM Bosom TO Asm call For "insp. INSPECTION NOTICE City of Tigard ia:ildiug DepartAoent 13125 810 Ball Blvd. Tig&.rd, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection•._ __ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Freminq -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: E Tim : AM PM Address: _ ;L5 '� Permit S:`�/L' -dl�� Builder } THE FOLLOWING CORRECTIONS ARE REQUI�R�EDi iz K �.u Oti-yt�gpeti,. so, / 7 ti-c y&A Ae Inspectors .µ+ Data: APPROVED ~DISAPPRO D APPROVED SUBJECT To ABOVE — _All,/Call For Reinsp. T INSPECTION NOTICE City of Tigard Huilding Department 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection: ------------ rooting Plbg. Underelab Mach. Hough-in Appc'/Sdwlk Found. Plbg. Top Out Gas Line FINAL: poet/Beam Struct. San. Sewer Framing -Bldq. poet/Beam Mach. Rain Drain Insulaticn -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: _ -Time: AM PM Permit :�L� - O 307 Address: .. Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: �4/ Date: APPROVED DISAPPR:')VED APPROVED SUBJECT TO ABOVE Call For Rainap. XNSPECTION NOY".ICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buei.neps Phone: 639-4171 I nepect ion:__ ---- -- Footing Plbg. Underella-b— Hoch. Rough-in Appr/Sdwlk T Out Cas Line FINAL: Found. Plbg. op Post/Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Ineulatl_on -Piumh. Plhg. Underfloor Water Line Gyp. BrI. -Mech. Date Requveteds L� C -4-/ _Timet AM ___—PM Address: '� � _ Permit it Builder. — - ` i TIIE FOLLOWINO OORRBCTIONS ARE REQUIRED: Inspector:. _ Date$ ' /► APPROVED DisAPPROVED APPROVED 9UBJECr TO ABOVE Call For Reinsp. INSPECTION N91ICE City of Tiqard Building Department 13125 SSS Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-P ne): 639-4175 Business Phone: 639-4171 Inspection• Footing Plb UndEr■ ab Mech. Rough-in Appr/Sdwlk/ Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water. Line Gyp. Rd. -Koch. / �/ A _ X_ _PM Date RRquested:-_���� �-_--- Time: M/ Permit Address: �� —_ - Builder: /� �% -- TBHES FOLLOWING CORRECTIONS ARE REQUIRED: l '- ' �7�0�lrilc a I Odd- _--- r_ Inspectors _._--_-. Date l APPROVtO DISAPPRMIW e`—XFPRovr:D SDBJSCT TO ADM Call For Rainap. ssr w w a ew eo Im INSPECTION NOTICE City of Tigard Building Dapartaent 13125 SW Ball Blvd. Tigard, Oregon 97723 ` Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection: - Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. PILg. Top Out Gas Line FINAL: Foet/Beam Strutt. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: �' Time: AM PN Address:�1-! %`^�/�1 �c� F� Prllolt Builder:, �'�v�•�' THE FOLLOWING CORRECTIONS AVE REWIRED: S,QF�n tzT' r I��aT Dvc r<' �✓ YG`=s f7CO�l�U�- L SU t'T'OIZ-1 cJ U LQ. _R-L4.LO J r, --- Inspector: i APPROVED DISAPPROVED APPROVED SURJF.rT To ADOVF Call F-r Reinsp. 'NSPFCTION NOTICE City or rigard Building Dsparttnent / 13225 S'M Ball Blvd. Tigard, Oregon 97223 npee one: Inspection Line (Ret-0 Huai Ph39-4171 -Phone): 614 ,- am Inspection:__ — Rooting Plbq. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Strutt. San. Sewer Framing -Bld g• Post/Beam Mach. Rain Drain Insulation -Plumb. Und re llootc Nater Line Gyp. Bd, -Mach. � Time: ----AM � PM Data Requested: — -- Address:- 1� y� � 7 _ Permit THE FOLLOWING CORREC'T'IONS ARE REQUIRED: _ I ItupaCLOrt _ _.,_____ Datet APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rsinap. INSPE=(gr! NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businesa Phone: 639-4171 Inspection•_ _—_— Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: ky Poet/Beam Struct. San. Sewer ���/,(,cF�ir_a{rming -Bldg. f Post/Beam Mer_h. -Rain Drain ""�7"" Insulation -rlumb. f Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested._ ,. y r� l Tlmes AM PM AddreNe: Z � 6 �+=_ Builder.:_- r�. THE FOLLOWING CORRECTIONS ARE REQUIRED: i } C' Inspector: / Date: APPROVED DISAPPROVED APPROVED EVEJECT TO ADM __—Call for Rainap. t MEMORANDUM CITY OF TIGARD To: Wayne Lowry, Finance From: Brad Roast, Building Official -�c Date: 2-28-91 Subject: PDC Refund, 14441 SW 125th Ave, Permit # MST90-0342 Please issue a check for $250.00 to Mrs. Alice Perrine (4625 Firwood Rd, Lake Oswego, Or 97035), as a refund of a portion of her PDC fee. Mrs. Perrina was not informed as to the increase in the PDC fee on January 1, 1991, thus she was not afforded the opportunity to pay the lower fee prior to the increase. Mrs. Perrine had made several inquiries about her permit fees and any possible increases, and was not properly informed. I have discussed this matter with Pat and he concurs with the refund. Mrs. Perrine paid for her permits on February 15, 1991, receipt # 91-209811. Please forward the check to me, so I may send it with a cover letter. Thanks � - � �o n .�[ Y./� V G�� � .� �1,.e c-� -Q .�-�� ..auk � �� -� ,Zig-��' O1�6'f-��,,�.v .��r-r-� � .�Lr.�.c.G� G.�.� ��� �:�� . _-ate- orl ..- dXZ i.) our U,se- oWktbla t� st: i r, �,( � a,rL �1n�s rn o n ul 1S s}tlI in f1� Jain Lh C�,,aCX4-7 a K-*'- zz) 6i- .� 6e, � Cr (.4c-7315 INSPECTION NOTICE City of. Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__, —_— Footing Plbg. Underelab Ncch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: I c Post/Beam :,truct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Req:teeted:_ -: � -/ �l /Time: AM Addreee t�Ljy1_ 4;:2 Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: r f Inspectors. 'Ie' Dater APPAOIRD DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. 4 r I INSPE_ TION NOTICE City of Tigard Building Departammt 13125 SW Ball Blvd. Tigard, Os-tsgon 97223 Inspection Line (Rec-O-Phonh): 639-4175 Business Phone: 639-4171- Inspections Footing Plbg. Un�lerslab Mech. Rough-.in nppr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam struck. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbr,. Underfloor Water 7Line Gyp. ed. -Mech. y/ Date Requesteds_E —c7/ —�7 _Time: ___AM JQPM ,( Addresn: / G/ '7 �J � Permit f: rL� Builders �1�i�li'K/1L� i THE FOLLOWING cORRECfIONS ARE REQUIREOt 'T ��tillyLi.� �i.✓� OAF/' 'y 2J) PF'ey'w `— Ay s;'1%✓6: !'r Z�` �L'i4 a �l.'GT' it•/�.�c la�.a �'" 7�/�S /rc/S✓7ar ri�u�t - i I i f i iinepwtost - Datee nr*Novso D:u►rMov�o `--�r�ee�r-D evs ncT To AMM call for MteM. PLUMBING PERMIT C17YOFTIGARD CITYOFTWARD PERMIT #. . . . . . . a MST90-0342 COMMUNITY DEVELOPMENT DEPARTMENT OREGON 13125 SW Holl Blvd. P.O.Box 23397,Tigard,Oregon 97223 (503)839-4176 _/ I DA'T'E ISSUED: 02/15/91 SITE ADDRESS. . . : 14441 SW I,-5TH AVE PARCELa 2S109AA-•00900 SUBDIVISION. . . . : IONINGa R-1 BLOCK. . . . . . . . . . . LOT. . . . . , . . . . . . . . CLASS OF WORK. . eNEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . aO OCCUPANCY GRP. . aR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES------------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . 31 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . a0 LAVATORIES. . . . . :6 OTHER FIXTURES. . . . . :N TUB/SHOWERS. . . . a SEWER LINE (ft ) . . . . :0 WATER C:LOSETS. . :4 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . al. RAIN DRAIN (ft) . . . . :0 Rvma+rksa on septic system OWNERa ________________.____.._._.________ ____._.____.._____.__....._FEES____..__.__ 'TIM AND ALICE PERRINE PAYM $ 100. 00 JLH 10/19/90 206036 4685 FIRWOOD RD BPRT $ 770. 50 1 1 BPLC $ 500. 83 I-AKE OSWEGO OR 97035 B5PC f 38. 53 Phone #: 620-7315 STDC $ 600. 00 L;SDC f 375. 00 / r' Plumbing umbing Contractor: PARK 500. 00 MPRT 43. 50 Name : ras _ __ HPLC i 10. 88 Odd ressa G7 ,�. �! �s_�. r-_______ M5PC t 2. 18 1 / F i t y a ,`�p.� /6 S t at e:;%i+9- PP R T * 185. 00 Z i p: ;�'►Ic`S Phone#a G,t?�7 P5PC $ 9. 25 Reg #:'_ -//�/G _ _ _---_.� PAYM $ 2938. 67 JLH 02/13/91 __-_- REQUIRED INSPECTIONS ---- - This permit is r.snmed subject to the r-eg. 111ations contained in the Tigard Municipal Foot/found Insp Gas Line Insp lode, State of Ore. Specialty Codes and all Wtr Proofing Ssm Insulation Insp other, applicable .laws. All work will be done Post/Beam Struct Gyp Board Insp in accordance with approved plans. This Post/Beam Mechan Rain drain Insp permit will expire if work is not started Crawl Drain Water Line Insp within 160 days of issuance, or if work is film/rindsl.ab Insp Appr/Sdwlk Insp suspended for more than 180 days. PLM/Underfloor Mechanical Final Ftng Drain Bsm' t Plumb Final Mechanical Insp Building Final Plumb Top Out Erosion Control �- Framing Insp Wtr Proofing Bsm Fireplace Insp Additional. . . . . . fauth razed �Klumbinq Cantractor Signature Call for inspection 639-4175 Contractor Not es a 1 - I Ct ®FTIFARD �r IY MASTER PERMIT MYOFTWAX), PERMIT *1.. . . . . . . . MST90-17134e COMMUNITY DEVELOPMENT DEPARTMENT OREGON 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(6031839-1175 ISSUED: 02/15/91 _v, 1'�._ I J... I 1:'iL_ V-ARCEL - JBDIVISION. . . . : ZONING- R-4. 5 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . ----------------------------------- BUILDING RE I SSUE: DWELLING URI ITS: J BASEMENT. . . . . . . . :0 CLASS OF WORK. .-NEW BEDRMS:4 BATHS:4 GARAGE. . . . . . . . . . :990 sf TYPE OF USE. . . :GF FLOOR REDU I RED S1-'_TBACK3--- -- TYPE OF CONST. :5N FIRST. . . . :2412 sf L.E F-T. . 9 9 ft RIGHT. :99 ft OCCUIZIANCY GRP. -.R3 SECOND. . . :2301 sf FRONT. 62 ft REAR. . :55 ft STORIES. . . . . . . :: THIRD. . . . .-0 sf REQUIRED---_.-_._._____________ HE:IGHT EUUIRED------- HE16HT. . . . . . . . :20 ft TOTAL._ --- - - 4713 sf SMORE DETECTORS. : Y' FLOOR LOAD. . . . : 40 psf VALUE. . . . . 2346 18 PARKING SPACES. . :0 140marps ; on septic system PLUMBING I NK:J. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PPEVNTRS. . :0 __AVATORTES. . . . . .6 WATER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . :0 UB/SHOWERS. . . . :, LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLUSETS. . :4 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 OISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. ''iARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . -O .MASHING MACH. . . : 1 SF-" PfIN'\1 DRAIN'-' 11 MECHANICAL EELS FUEL TYPES----- - UNIT KTRS. 17) t y P) amount by date r e f- pt /GAS/ VENTS . . . . . :0 PAYM $ 100- 00 JLH 10/19/90 206036 MAX INPUT.-O BTU k ENT FANS. . -'—: BPRT $ 770. 50 FURN < 100K . . :0 HOODS. . . . . . el B V'L C $ 500. 83 FURN ) =100K . . . I WOODSTOVES. -0 B5PC $ 313„ :5 3 r-"LOOR FURN. . . . a@ CLO DRYERS. : I STDC $ 600. 00 Ml-' 3 H P.'0 OTHEP 1.,NITS-41 SEDC $ 3'71'. 00 GAS OUT LETS: 1 PARK $ w -le jwn er* -, ­ ­ . -- -- ­- ­­­_­­­.. .. MPRT $ 43. 50 FIM AND ALICE PERRINE MPLC $ 1121. 88 e"'.5 FIRWOOD PP M 5 P L' $ 12. 18 PP R 7 11 185. 00 J-411\E. USWEGO ON 970,35 $ E). P5 'hone $-",'A Y M $ L935- 67 JLH 01 / 15/91 ont ract or.: )14NER/CONTRACTOR 'hone #' 3035. !77 TOTAL. This ptrait is issued subject to the regulations contained in the REQUIRED INSPECTIONS -- Tigard Municipal Code, State of Orc Specialty Codes and all othv Foot/found Insp Mechanical Insr, ,?Pulicable laws. All work will be dcrit in accordance with MoDroved r F'rr'oafing B s m Plumb Top Out olans. This persit will expire if work is not started within 181 Post/Beam Struct Framing Insp rays of issuance, or if work is susntlidpe fo- sort thv 180 days. Post/Beam Me&'All Fireplace Insp Cr-Awl Drawn Gas L-inr IllsP P I M/11 T-1 d S I A b 111 s r Ins ,tlaific'n PLM/Unde"floor Gyp Board Insp Ftnq Drain Bsm' t Rain rit-AIT) ir} ; : ectinn - 639 4175 1E 098 CITY OF TIGARD RECEIPT OF' PAYMU-N'T RECEIPT NO. a91--c'". 11 CHECK AMOUNT (�935. 67 NOME PERRINFA, ALICT cA"-)-1 AMOUNT 0. 00 ADDRESS 4625 FIRWOOD RD PAYMENT DATE 0''/1`,5/91 Stj6DIVISION LAKE 01-33WEGO, OR (.,)7035- 14441 SW 125TH AVE PURE'-10SE Or. PAYMENT AMC)LINT PA 11) PURPOSE OF PAYMENT AMOUNT P111D IWILDING PERM MST90-0342 770. 50 PLUMBING ':IERM IS i. 00 i,4 .Ci ION I CAL PE 43. 50 sr, ^:!'f'-D PER 4'3. '36 PLAN CHF-CA FE 41I. -Ill 91 I.Fr--T SY)C 600. 00 .PARKS SDC 500. 011 STORM DRAIN SDC 375. 00 FOTAL. AMOUNT PAIP i'.935. 6;, JEW X t' Permit No: Pr Address: O Issued by: _ - _- Date: FOR OFFICE USE ONLY__-- STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2.B: 1. Z= I own, reside in, or will reside in the completed structure. 2. A. C—) My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. -71 I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information Is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Slgne, t ure of Permit Applicant D o eZ CONSTRUCTION CONTRACTORS BOARD 0244J 1190 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT i f INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons riot registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, it,, most instances, be ruled to be an "employer" and the people you hire will be "employees". As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an t.;rnployer, you must withhold income taxes from employee wages ai tie time empToyees are paid. You will be liable for the tar payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. Unem loyment Insurance Tax- As an employer, you are required to pay a tax for unemployment insurance purposes on tt ie wages Drell employees. For more information, call the Oregon Employment Division DHR a t 378.3224. Workers' Compensation Insurance. As an employer, ,you are subject to the Oregon Workers' Cornpensa- fforT7niv-,and must obtain woers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. U.S. Internal Revenue Servlce: As an employer, you must withhold federal income tax from employees wages. You will be liable o the tax payment even If you didn't actually withhold the tax. For more informa. tion, call the Internal Revenue Service at 221.3960. OTHFR RESPONSIBILITIES AND AREAS OF CONCERN: Code Compliance As the permit holder tot this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liabi� and Propert Dame a Insurance: Contact your insurance agent to see if you have adequate Insurance coveragefor ace encs an c-omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done Time to Supervise Employees. Make sure you have sufficient time to Supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. YOU have additional questions, write to Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310.0151 Phone 503.378.4621 0244J 10124/89 II (,'11"Y OF" TlOoFll) RECEIPT OF PAYMENT RECEIPT NO. .9f,"p—2060 e) CHEM' AMOUNT 100.(1)(1) NAME a PERRINE. CW13H AMOUNT Q.()4:) ADDRESS a 4625 FIRWOOD RD rAYMENT DATE a 10/19/91) SUBDI V I S I ON LAKE OSWEGO, OR 9707,5--- 14441 SW 1:25TH A V F.-' l' UPPOSE OF PAYMENT (.,)Moullj,r PAID I-"L.Jf4,'POSE OF PAYMENT AMOUNT PAID PLAN CHECK. FE 1�>--46P 1 C.) (TC) TOTAL AMOUNT PAID I oc).00 WASHINGTON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES co 3(-)l � 155 N. First Avenue REFER Hillsboro, Oregon 9717.4 Telephone: 648-8722 SUBJECT LOCATION ,Y.. -i - IL/ v V HEALTH DEPARTMENT MEMORANDUM The subject noted above has been reviewed and the following decision is recorded: No Yes ( ) N).. . .. .Health Department requirments haoe been met in full.. No Yes ).. .. ..Additional requirements as follows must be met before Health Department / approval can be given. Comments 4 1 La 4/86-rev. WCDPH SS84e / Public Health Sanitarian ------------------------------------------------- ----------------------------------------------- i i i I i I , o G� + l,ocatlnn, depth, & aRan6�ent all Aartx of the Individual septic tank system (Includlnr distrlbullon box & subsurface Itnes) will conform to details shown on this plot plan. Any devil."on from "an es here shown mull hl 1L�� �a-^ILJ be APProve4 by the County Health Department ►V I , 1 la wrltlne In advance of Installation. Fellure fIVEr�CF on thepart of the bullder or owner to comwith these requirements voids eneYt obllplyptlon for Health Dspartmant ,he flolehed""'M. 1444 I tWlldei and/M r1vmK r \ A LfY I:�I li1 G ?.410 r fit:.C)r- BAST FS�k=1i Or• ►�D2Tt1t2`(. � � •-�-ter ►�a�c +1-4 At,t,� \ � .24V' 1N' . U� e Air 6D I`.`( •�4 v 0 r0 M rl at1 sa✓ � �I�4 �1�—.._ v ham' 1 I , -�• r r- �-tNE -R3SY/NAVL r fir�iR 7- .4 11 ,